EFT Form20090922.doc
DOC document 86 KB Posted
- Solicitation number
- BD-14-1025-DOCCF-FISCC-00000000158
- Issued by
- Massachusetts
About this file
The document provided is an EFT (Electronic Funds Transfer) Form from the Commonwealth of Massachusetts Executive Order of Public Safety Department of Correction, Administrative Services/Concord Office. This form is used to request changes to vendor bank account information for payments related to state and local contracts. The form requires the vendor to provide their Taxpayer Identification Number (TIN), vendor name, contact information, and new or old bank account details including the bank name, transit number, and account number.
The related state and local contract opportunity is for the outright purchase of "15-9043-STEEL" steel type supplies, issued by the Commonwealth of Massachusetts. The contract has an unspecified duration and does not provide details on the quantities, response dates, award dates, or other specifics of the procurement. Pricing terms, set asides, incumbent information, funding sources, and other relevant details are also not included in the provided documentation.
View the file
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| EPP Form.doc | DOC document | |
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| SDP Form 1_2013100 Submit w Bid.doc | DOC document | |
| Std Contract Frm_STEEL 20140416.doc | DOC document | |
| Bus Ref Form.doc | DOC document | |
| RFR_15-9043-STEEL.doc | DOC document |
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Text version
The Commonwealth of Massachusetts Executive Order of Public Safety
Department of Correction, Administrative Services/Concord Office
P.O. Box 9125 – 965 Elm St. Bldg. #26
Concord, MA 01742-9125
Please complete all fields below, generate the form, print it and mail to your contact at the Department you do business with.
Top of Form
AUTHORIZED PERSON
First Name:
Name:
VENDOR INFORMATION
TIN * :
Vendor Name:
Contact Name:
E-mail:
Telephone:
Address:
City:
| State: |
| Zip: + |
VENDOR BANK INFORMATION
Bank Name:
Transit Number (ABA):
New Account Number:
| Old Account Number: |
| Filling out this field is a requirement for changing an account number |
| Account Type: |
| Checking Account Saving Account |
Fill all the fileds above, click "Print Form", and mail to the Department you do business with.
HTMLCONTROL Forms.HTML:Submitbutton.1
*TIN is your Tax ID Number
Signature______________________________ Date___________________
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_1315899651.unknown
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File details come from the government source that posted it. Updated .